Bilello, Jaclyn Rene

Bilello, Jaclyn Rene is an individual health care provider with primary practice located at 211 Quarry Rd Ste 305 , Palo Alto CA 94304-1416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bilello, Jaclyn Rene can be contacted via phone (650) 498-9000.

Contact Information

Primary practice address
211 Quarry Rd Ste 305 Palo Alto CA 94304-1416
Phone: (650) 498-9000
Fax: (215) 731-2198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1713 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1713 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57936 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA057542 Pennsylvania

Profile Details

NPI number 1285695445
LBN Legal business name Bilello, Jaclyn Rene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285695445 NPPES
Massachusetts MEDICAID 1301071

Popular Providers